DFIB

I once rode a transfer with a poly-traumatized patient and an anesthesiologist stabilizing him. He was delivered to a local clinic in the back of a LE pick-up truck, He had been in a high velocity head on MVC with an 18 wheeler. It was a 2 hour and 45 minute ride. The Doc was a Rock Star at keeping the patient alive. One of the coolest calls I have ever worked.

Politics are crazy and the Americas voters have proven to be an uninformed and fickle many, many times. I would hope we can learn from our mistakes. akflightmedic I am just couriose, Why can't a black man be rich? Vote for Kinky Friedman!!!

Hello amigo, As a EMT I am excited to see experienced guys like yourself come to the forum. I love free advice My son is a EMT in Montgomery county. Love the area.

Only in my jump kit. Tampons work for epistaxis as well. I use kotex for lacerations. They are really fast on scalp lacerations. Slap a kotex on and wrap with a previously cut to size bandage and I am done before the buzzer. My daughter freaks every time I ask someone in walmart where the nighttime extra absobent no wings sanitary napkins are she will squeal "daaaaddd" and run down the isle. I get a kick out of that. If the patient is giving us a hard time I can flip the pad around like a feather before I wrap it. Always gets a smile from the ER doc. Edited to insert quote

Another fellow EMT! Welcome aboard!

Tampons do a good job in gunshot wounds in the absence of arterial bleed.

Texas EMS Convention NOV. 19-22, Austin, Texas

Welcome Eric, I am a High angle and confined spaces aficionado and am glad to hear we share the passion.

HLPP I have to admire you girl for your persistence. But after about a week it sounds to me that you are simply refusing to accept wise council. Not mine but there are folks that are. John Adams once said “Facts are stubborn things; and whatever may be our wishes, our inclinations, or the dictates of our passions, they cannot alter the state of facts and evidence.” The simplicity is that no self respecting provider will leave a potentially critical patient on the scene regardless of their size. The bench is not ideal but necessary. And is reasonably safe so long as restraints are in place. Obviously it is not as safe as a padded room full of hardbody cops but will get the job done and still meet minimum safety standards in most states. I would assume that the bench would not be a problem for you in GA since you demand patients be transported unrestrained on the floor and fire medics that refuse to do so. Putting a potentially critical patient on the bench could save their life whereas putting a non critical on the floor could produce just the opposite. David Antin the poet and critic once said “I was trying to find out what it was that everybody else understood without giving up my stubborn and hard-won lack of understanding.” Seems appropriate here.

Nope. Don't think I would wait.

I would take them both. The boy on the stretcher and the girl in the carseat unless she is already strapped to a backbord. I once had a MVC With a DOA in the back seat. One crushed thorax and two that were deambulating freely. one had a bump on his head and the other had a broken radius. The guy with the broke arm rode in the capitans chair. One on the stretcher and another on the bench. All were belted in. Closest hospital was 30 min away. The only people with chopers here are politicians, military and police so lifeflight is a no go. MCI Emergencies demand prioritation of risk benefit.

I don't think there is reason to bang you up too much. By design touniquets are made to reduce catastrophic blood loss. Once that objective was achieved the risk/benefit of leaving a touniquet on changes. I know our local protocols say something different. I think in part because Medical Direction need to make sure their EMS personel don't end up off the reservation trying weird procedures or doing dumb stuff. Aplying a touniquet is pretty basic and a guy with your experience should be able to tell when you are getting into uncharted territory. Usually in places like Afg folks work under what could be called "relaxed" protocols if protocols exist at all. I don't know if that was the case with you. Many times we will do what is reasonable based on our experience and the developing situation. I think your logic was good and you probably helped your patient and the trauma team that would patch him up. Did you ever get to follow up on him?

Meatballs work for me

Mr. Gandy is one of my paramedic heroes.

If direct pressure fails to stop bleeding "you should move to the use of a tourniquet without attempting pressure point control.If a tourniquet is deemed nessesary, it should be applied quickly and not released until a physician is present" AAOS Emergency Care and Transportation of the Sick and Injured, Tenth Edition, Jones and Bartlett Publishers, Sudsbury, Massachusetts.

Coz’ every girls crazy ‘bout a sharp dressed man. but you are paying about 20 bucks too much for the boots. I got a pair of Delta 8 side zips for 100 bucks.

Richard B .Autopilot is the most common way to fly. I would bet that most everybody wipes the the cot when they change the sheets. Exept for the ones that don't

I mentioned it as well. Twice in the same post.

You just have to rub it in, Showoff!

My student rides were great. I rode with a great group of preceptors in Sealy, Tx. I was able to work my complete scope of practice. Al preceptors had been briefed and were prepared to interact with students. I was also privvy to the post-call debriefing so I got to see the good, the bad, and the ugly of the care we had provided. I got granny points because I am bilingual very self motivated, and am a little older than most students so I got to see the strings in the system. Maby they treat everyon the same but they made me feel very welcome. The student riide alongs were very educational for me.

Our patients are complete beings; mind, body and spirit. Anytime we can holistically treat them we are nurturing them and ourselves as complete beings. We all need to give and receive affection. My heart goes out to the elderly that have been stored away as if they had never been young, vibrant beings. As if they had never had dreams, aspirations, love, and successes in life. I think we should take the opportunity to spend time with them every time we can, on or off the clock. I have never regretted it.

I think there is an aspect we are missing. The ratio between patients that are transported while properly restrained to a stretcher and those that are transported on the floor, which would be infinitely less. Out of the cases that are transported on the floor, what percentage would suffer an MVC, out of the ones that might suffer an MVC how many are rollovers. Reason demands that the ratio would be very small compared to the ratio of MVCs where the patient is in a stretcher. One thing is sure; except for an absolute miracle every patient transported on the floor should sustain injury from an MVC with a significant MOI. This would not be necessarily true with properly secured patients on a stretcher. Therefore I have to conclude that further discussion of HLPP argument of stretchers coming loose in a rollover would be inevitably flawed and should be abandoned.

In Mexico they are putting pictures like those described on cigarette packs. I can't tell that it has made any difference. I disagree strongly with the idea. I disagree with smoking but respect their right to market a legal product. Industry discrimination is a slipery slope. If a product is legal it should have the same advertizing rights and privileges as all other legal products. Who would they demonize next, Make Mc Donalds put pictures of obese people on their wrappers, or budweiser put pictures of mangled cars on their cans? Many will only agree with the demonization of cigarettes because it is not their industry that is being attacked. I am a big advocate for personal responsibility and think that if allowed government will overstep their bounds.

Gotcha, I think you could write your own curriculum and presentations with ease. But to your original post I have not seen a lot of different PPE presentations. Good luck.

My son, also an EMT, found an old. moldy. half eaten. haburger patty between a fold of skin on one of his patients.